Linyi insurance claims standard

Out-of-pocket expenses within the scope of medical insurance policy. During the guarantee period, the annual cumulative deductible for the hospitalization expenses (including outpatient chronic diseases and special diseases) of the insured in designated medical institutions reimbursed by basic medical insurance, critical illness insurance (including supplementary insurance) and medical assistance is 6.5438+0.8 million yuan, and the proportion exceeding the annual deductible is 50%, and the guarantee amount is 6.5438+0.0 million yuan. Personal expenses beyond the scope of medical insurance policy. During the guarantee period, the insured's hospitalization expenses (including outpatient chronic diseases and special diseases) outside the scope of medical insurance policies in designated medical institutions, after being reimbursed by basic medical insurance, critical illness insurance (including supplementary insurance) and medical assistance, the annual cumulative deductible is 20,000 yuan, and the proportion exceeding the annual deductible is 40%, and the guaranteed amount is 6,543,800 yuan. Cost guarantee of innovative drugs. During the guarantee period, the annual cumulative deductible for the hospitalization expenses (including outpatient chronic diseases and special diseases) of the insured in designated medical institutions reimbursed by basic medical insurance, critical illness insurance (including supplementary insurance) and medical assistance is 6.5438+0.8 million yuan, and the proportion exceeding the annual deductible is 50%, and the guarantee amount is 6.5438+0.0 million yuan.